Individual
DANIEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
214 STATE ST, GUTHRIE CENTER, IA 50115-1350
(641) 332-3100
Mailing address
5237 PANORAMA TER, PANORA, IA 50216-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09588
IA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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